Individual provider · Type 1 NPI

Dominique Johnson, RN

Home Health Registered Nurse · Cottage Grove, MN

NPI number 1558030544 Active

Practice location

6809 Timber Ridge Dr S
Cottage Grove, MN 55016-4776

Specialties and licenses

TaxonomyCodeLicense
Home Health Registered Nurse Primary 163WH0200X2469227 (MN)

Home Health Registered Nurse: Definition to come...

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About NPI 1558030544

Dominique Johnson, RN's National Provider Identifier is 1558030544, issued on Sep 13, 2021. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Cottage Grove, MN. The record was last updated on Sep 13, 2021.